BSN Pediatric Nursing Exam 1 Practice UPDATED ACTUAL
Questions and CORRECT Answers
1. According to Erikson, which developmental task is primary for an infant (birth
to 1 year)?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: A
Rationale: The infant’s primary task is to develop a sense of trust in their caregivers and
environment.
2. At what age should a nurse expect a child’s birth weight to double?
A. 4 months
B. 6 months
C. 9 months
D. 12 months
Answer: B
Rationale: Typically, an infant’s birth weight doubles by 6 months of age.
,3. Which Piagetian stage is characterized by magical thinking and egocentrism?
A. Preoperational
B. Sensorimotor
C. Concrete Operational
D. Formal Operational
Answer: A
Rationale: The preoperational stage (ages 2-7) is marked by symbolic thought,
egocentrism, and magical thinking.
4. The nurse is assessing a 4-month-old. Which reflex should still be present?
A. Rooting reflex
B. Moro reflex
C. Palmar grasp reflex
D. Stepping reflex
Answer: A
Rationale: The rooting reflex typically disappears around 4 months, while Moro, Palmar,
and Stepping usually disappear earlier (2-3 months).
5. At what age does the posterior fontanel usually close?
A. 12 to 18 months
B. 3 to 4 months
C. 6 to 8 weeks
D. 2 years
Answer: C
Rationale: The posterior fontanel is smaller and usually closes by 6 to 8 weeks of age.
, 6. Which play type is most characteristic of toddlers?
A. Parallel play
B. Solitary play
C. Associative play
D. Cooperative play
Answer: A
Rationale: Toddlers engage in parallel play, where they play alongside other children but
not with them.
7. A child is expected to sit unsupported by which age?
A. 4 months
B. 6 months
C. 10 months
D. 8 months
Answer: D
Rationale: Most infants can sit steadily unsupported by 8 months of age.
8. What is the first sign of puberty in most males?
A. Appearance of pubic hair
B. Testicular enlargement
C. Deepening of the voice
D. Growth spurt
Answer: B
Rationale: Testicular enlargement (Tanner Stage 2) is generally the first physical sign of
puberty in males.
Questions and CORRECT Answers
1. According to Erikson, which developmental task is primary for an infant (birth
to 1 year)?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: A
Rationale: The infant’s primary task is to develop a sense of trust in their caregivers and
environment.
2. At what age should a nurse expect a child’s birth weight to double?
A. 4 months
B. 6 months
C. 9 months
D. 12 months
Answer: B
Rationale: Typically, an infant’s birth weight doubles by 6 months of age.
,3. Which Piagetian stage is characterized by magical thinking and egocentrism?
A. Preoperational
B. Sensorimotor
C. Concrete Operational
D. Formal Operational
Answer: A
Rationale: The preoperational stage (ages 2-7) is marked by symbolic thought,
egocentrism, and magical thinking.
4. The nurse is assessing a 4-month-old. Which reflex should still be present?
A. Rooting reflex
B. Moro reflex
C. Palmar grasp reflex
D. Stepping reflex
Answer: A
Rationale: The rooting reflex typically disappears around 4 months, while Moro, Palmar,
and Stepping usually disappear earlier (2-3 months).
5. At what age does the posterior fontanel usually close?
A. 12 to 18 months
B. 3 to 4 months
C. 6 to 8 weeks
D. 2 years
Answer: C
Rationale: The posterior fontanel is smaller and usually closes by 6 to 8 weeks of age.
, 6. Which play type is most characteristic of toddlers?
A. Parallel play
B. Solitary play
C. Associative play
D. Cooperative play
Answer: A
Rationale: Toddlers engage in parallel play, where they play alongside other children but
not with them.
7. A child is expected to sit unsupported by which age?
A. 4 months
B. 6 months
C. 10 months
D. 8 months
Answer: D
Rationale: Most infants can sit steadily unsupported by 8 months of age.
8. What is the first sign of puberty in most males?
A. Appearance of pubic hair
B. Testicular enlargement
C. Deepening of the voice
D. Growth spurt
Answer: B
Rationale: Testicular enlargement (Tanner Stage 2) is generally the first physical sign of
puberty in males.
